以培养护士核心能力为导向的循证护理查房模式探索  

Development of Evidence-based Core Competence-oriented Nursing Round Model

作　　者：蔡莹莹 张俊峰 蔡艾芳[2] 曾雅燕[3] 李玲 黄琼珊[1] 刘兴玲 CAI Ying-ying;ZHANG Jun-feng;CAI Ai-fang;ZENG Ya-yan;LI Ling;HUANG Qiong-shan;LIU Xing-ling(Dept.of Nursing Administration,Jieyang People’s Hospital,Jieyang 522000,China;the 3rd Unit of Oncology Department,Jieyang People’s Hospital,Jieyang 522000,China;the 1st Unit of Oncology Department,Jieyang People’s Hospital,Jieyang 522000,China;Dept.of Thoracic Surgery,Jieyang People’s Hospital,Jieyang 522000,China;Dept.of Nursing Administration,Songshanhu Central Hospital of Dongguan City,Dongguan 523325,China)

机构地区：[1]揭阳市人民医院护理部,广东揭阳522000 [2]揭阳市人民医院肿瘤内科三科,广东揭阳522000 [3]揭阳市人民医院肿瘤内科一科,广东揭阳522000 [4]揭阳市人民医院胸心外科,广东揭阳522000 [5]东莞市松山湖中心医院护理部,广东东莞523325

出　　处：《护理学报》2022年第6期50-54,共5页Journal of Nursing（China）

基　　金：揭阳市科技计划项目(YLWS019)。

摘　　要：目的探讨基于Stetler循证实践模式的循证护理查房在护士核心能力培养中的效果。方法2020年12月—2021年8月选取肿瘤内科一科、肿瘤内科三科、胸心外科44名护士为研究对象,对比实施基于Stetler循证实践模式的循证护理查房前后护士核心能力及循证实践知信行能力。结果实施后,护士评判性思维/科研能力、临床护理能力、领导能力、人际关系能力、法律/伦理实践能力、专业发展能力、教育/咨询能力得分及总分均得到提升,除法律/伦理实践能力维度差异无统计学意义外,其余维度差异均有统计学意义(P<0.05);护士循证实践行为、态度、知识技能得分及总分均得到提升,差异有统计学意义(P<0.05)。结论基于Stetler循证实践模式的循证护理查房能有效提升护士核心能力、循证实践知信行能力,获得护士高度认可,值得临床推广。Objective To explore the effect of nursing round based on Stetler’s evidence-based practice model in the training of nurses’ core competence. Methods Forty-four nurses from the 1st and 3rd unit of oncology department, and department of thoracic surgery from December 2020 to August 2021 were selected as the research objects, and they participated in evidence-based nursing rounds based on the Stetler evidence-based practice model. The nurses ’ core competence and evidence-based practice knowledge,belief and practice(KAP), and nurses’ satisfaction with evidence-based nursing rounds were compared. Results After the implementation of evidence-based nursing round, the score of ability of critical thinking/scientific and research, clinical nursing,leadership, interpersonal relationship, legal/ethical practice, professional development, education/consultation and the total score were improved. Except the score of the dimension of legal/ethical practice, that of other dimensions was statistically significant( P<0.05);the score of evidence-based KAP, and the total score were higher and the difference was statistically significant( P<0.05). Ninety percent of the nurses were satisfied with the evidence-based nursing round. Conclusion Nursing round based on Stetler’s evidence-based practice model can improve the core competence of nurses and their KAP. It is highly recognized by nurses and is worthy of clinical application.

关 键 词：护士 核心能力 培养 循证护理查房 

分 类 号：R47[医药卫生—护理学]